Individual
DR. CHARLES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2712 HIGHWAY 34 E, NEWNAN, GA 30265-1330
(678) 576-0425
Mailing address
161 QUIG YOUNGS RD, MORELAND, GA 30259-3048
(678) 576-0425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015564
GA
Other
Enumeration date
05/11/2017
Last updated
01/28/2020
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